Motivational and estimation criterion of willingness of people to provide the civilian oversight at the local level

The main trend of the elite public policy since the second half of the 80-ies of the last century is the democratization of public life and development of civil society in Russia. Its implementation is associated with the design and introduction of a set of mechanisms that determine the relationship between the individual and social institutions of various levels and functional purpose. One such mechanism is civilian oversight over authorities. Ideologues of democracy believe that it allows to improve the efficiency of the power structures and minimize their deviation. The changes that are currently taking place in Russia make a significant adjustment to the behavior patterns characteristic of Russian citizens. In connection with the new understanding of the role of the citizen, the development of institutions of governmental authority and local self-government, there is a real need to find some new approaches to defining the essence of the concept of civilian oversigh

Wightman function and Casimir densities for Robin plates in the Fulling-Rindler vacuum

Wightman function, the vacuum expectation values of the field square and the energy-momentum tensor are investigated for a massive scalar field with an arbitrary curvature coupling parameter in the region between two infinite parallel plates moving by uniform proper acceleration. We assume that the field is prepared in the Fulling-Rindler vacuum state and satisfies Robin boundary conditions on the plates. The mode-summation method is used with a combination of a variant of the generalized Abel-Plana formula. This allows to extract manifestly the contributions to the expectation values due to a single boundary and to present the second plate-induced parts in terms of exponentially convergent integrals. Various limiting cases are investigated. The vacuum forces acting on the boundaries are presented as a sum of the self-action and 'interaction' terms. The first one contains well known surface divergences and needs a further renormalization. The 'interaction' forces between the plates are investigated as functions of the proper accelerations and coefficients in the boundary conditions. We show that there is a region in the space of these parameters in which the 'interaction' forces are repulsive for small distances and attractive for large distances.Comment: 20 pages, 2 figures, discussion added, accepted for publication in Int. J. Mod. Phys.

Sociocultural aspect of realization of civil control in modern Russian society

The backwardness of civil control in modern Russia is connected with a complex of the reasons of sociocultural character, including with specifics of the Russian traditions of public participation. It is proved that only collective forms of civil control relying on mobilization and use of the social capital of local communities can be the most effective in Russi

Clinical efficacy of a personalized exercise program in the rehabilitation of patients with atrial fibrillation after radiofrequency ablation

Aim. To study the clinical efficacy and safety of a personalized exercise program in the rehabilitation of patients with paroxysmal atrial fibrillation (AF) after primary pulmonary vein radiofrequency ablation (RFA).Material and methods. Patients (n=48) with paroxysmal AF who underwent RFA were randomized into two groups: main (n=24) — patients involved in the exercise program and received standard therapy; control (n=24) — patients received standard therapy. The program included exercise complexes with the calculation of energy consumption, step training and walking. The program lasted 6 months, while the follow-up period — 12 months. All patients in the study underwent a faceto-face learning interview.Results. After 6-month exercise program, bicycle ergometer test revealed an increase in duration (by 18,6%, p<0,001) and power (by 24,8%, p<0,01) of the load, while these changes were not revealed in the control group. The positive aftereffect of training on these parameters persisted even after the completion of program. Left atrial and left ventricular end-diastolic dimension remained stable in exercise program group and significantly increased in the control group. In contrast to the control group, the following parameters significantly decreased in trained patients after 6 months: body mass index by 2,8% (p<0,05), systolic blood pressure by 2,1% (p<0,05), heart rate by 12,1% (p<0,05), low-density lipoprotein cholesterol concentration by 18,8% (p<0,001), high-sensitivity C-reactive protein by 22,9% (p<0,05), N-terminal pro-brain natriuretic peptide by 28,2% ( p<0,05), aldosterone by 41,5% (p<0,001) and angiotensin II by 41,3%, p<0,05). In addition, in the exercise program group an increase in high-density lipoprotein cholesterol by 20,6% (p<0,05) and physical activity level by 23,8% (p=0,001) was revealed. At the same time, both groups showed a significant decrease in the concentration of fibrinogen and transforming growth factor-β1. After 6 months, in the exercise program group versus the control group, there was a decrease in the number of registered supraventricular premature beats (p<0,01), episodes of supraventricular tachyarrhythmia (p<0,05), including AF (p<0,05).Conclusion. Involvement of patients with AF after catheter RFA in a cardiac rehabilitation program based on moderate-intensity aerobic training improves exercise tolerance, cardiac function, corrects thrombogenic factors, and reduces the likelihood of arrhythmia recurrence, including AF

Effect of CPAP therapy on left atrial remodeling in patients with paroxysmal atrial fibrillation and obstructive sleep apnea undergoing pulmonary vein isolation

Aim. To study the isolated effect of obstructive sleep apnea (OSA) on left atrial (LA) remodeling in patients with paroxysmal atrial fibrillation (AF) who underwent pulmonary vein (PV) ablation and concomitant severe and moderate OSA.Material and methods. A subanalysis of echocardiographic data was performed in 50 patients with paroxysmal AF and moderate/severe OSA who underwent PV isolation and were followed up for 12 months (main group, 33; control group, 17). The clinical efficacy of catheter ablation was assessed after the end of the threemonth blind period. The following echocardiographic parameters were included in the subanalysis: anterior-posterior LA dimension, LA volume, LA volume index (LAVI), and pulmonary artery systolic pressure (PASP).Results. After 12 months, the control group showed a significant increase in the anterior-posterior LA dimension (40,5 (40-42) mm vs 42 (40-45) mm, p=0,037), LA volume (68,5 (58-74,5) ml vs 69 (63-89) ml, p=0,006), LAVI (35,0 (29-37) ml/m2 vs 35,5 (32-41,5) ml/m2, p=0,005) and PASP (27 (25-30) vs 30 (29-33), p=0,004). Intragroup analysis of patients not receiving continuous positive airway pressure (CPAP) therapy and without recurrent AF did not reveal significant changes in LA size (anterior-posterior LA dimension — 40 (40-42) mm vs 40 (40- 41) mm, p=0,317; LA volume — 63 (58-71) ml vs 64 (61-69) ml, p=0,509; LAVI — 32 (29-36) ml/m2 vs 33 (31-34) ml2, p=0,509).Conclusion. In patients with paroxysmal AF and concomitant moderate to severe OSA who underwent AF catheter treatment, the absence of CPAP therapy is not associated with a significant increase in the linear and volume LA dimensions in the absence of AF recurrence

Anisotropic inharmonic Higgs oscillator and related (MICZ-)Kepler-like systems

We propose the integrable (pseudo)spherical generalization of the four-dimensional anisotropic oscillator with additional nonlinear potential. Performing its Kustaanheimo-Stiefel transformation we then obtain the pseudospherical generalization of the MICZ-Kepler system with linear and $\cos\theta$ potential terms. We also present the generalization of the parabolic coordinates, in which this system admits the separation of variables. Finally, we get the spherical analog of the presented MICZ-Kepler-like system.Comment: 7 page

Second Hopf map and Yang-Coulomb system on 5d (pseudo)sphere

Using the second Hopf map, we perform the reduction of the eight-dimensional (pseudo)spherical (Higgs)oscillator to a five-dimensional system interacting with a Yang monopole. Then, using a standard trick, we obtain, from the latter system, the pseudospherical and spherical generalizations of the Yang-Coulomb system (the five dimensional analog of MICZ-Kepler system). We present the whole set of its constants of motions, including the hidden symmetry generators given by the analog of Runge-Lenz vector. In the same way, starting from the eight-dimensional anisotropic inharmonic Higgs oscillator, we construct the integrable (pseudo)spherical generalization of the Yang-Coulomb system with the Stark term.Comment: 10 pages, PACS: 03.65.-w, 02.30.Ik, 14.80.H

Large aperture vibrating wire monitor with two mechanically coupled wires for beam halo measurements

Development of a new type of vibrating wire monitor (VWM), which has two mechanically coupled wires (vibrating and target), is presented. The new monitor has a much larger aperture size than the previous model of the VWM, and thus allows us to measure transverse beam halos more effectively. A prototype of such a large aperture VWM with a target wire length of 60 mm was designed, manufactured, and bench-tested. Initial beam measurements have been performed at the Fermilab High Intensity Neutrino Source facility, and key results are presented.open1

Shortened PQ interval in the differential diagnosis of Anderson-Fabry disease: a case report

In this article, we present a case of a patient with a late diagnosis of Fabry disease caused by a pathogenic variant in the GLA gene (p.1287_1288dup), who repeatedly attempted interventional treatment of Wolff-Parkinson-White Syndrome due to characteristic electrocardiographic pattern of ventricular preexcitation and paroxysmal arrhythmias. The proposed pathognomonic signs of the disease will ensure timely diagnosis and the appointment of specific treatment

CRYOBALLOON ABLATION IN RUSSIAN SITES OF INTERVENTIONAL ATRIAL FIBRILLATION MANAGEMENT TREATMENT: RESULTS OF THE FIRST NATIONWIDE SURVEY

Aim. The results of cryoballoon ablation (CBA) are known from the studies performed in the experienced centers of catheter treatment of atrial fibrillation (AF). The current study presents the results of CBA in real practice in centers with various experienceMaterial and methods. Among 62 Russian sites performing catheter treatment of AF, in 15 the CBA methods were in use to isolate pulmonary veins, in the years 2012-2014. Centers staff were surveyed for the detailed description of all performed CBA till 10.2014. The questionnaire included 74 lines about the centers experience, patients properties and ablation procedures, management of patients and complications. At the second step the questionnaire was used about complications.Results. Thirteen centers provided full data on all patients with CBA (457 procedures; 94% for paroxysmal AF; >95% CBAs in Russia). Six centers were marked as highly experienced for CBA for AF (mean 414,2±339,4 ablations for AF per year), and 7 — with lesser experience (33,2±34,3 ablations for AF per year). Ten centers provided the results of 6/12 month observation, and 11 centers — detalization of the complications data. there were no statistically significant differences in arrhythmia absence in patients from both types of centers (61,9±10,0 versus 61,3±30,4%). Serious complications developed in 1,5% of patients (4 tamponades, 2 strokes and 1 diaphragmal nerve palsy) and were similarly spread among more and less experienced centers (1,4% vs. 2%, p>0,05). Minor adverse events (vascular, transient diaphragm nerve palsy, transient hemoptysis) were found in 37 (8%) patients and were more common in more experienced (teaching) centers. Overall frequency of adverse events and of vascular events was higher in females than males (12% and 4,9% vs. 6% and 0%, resp.; p<0,05).Conclusion. In the real clinical practice CBA is performed with acceptable efficacy and moderate frequency of adverse events development. In less experienced centers of catheter treatment of AF the prevalence of serious adverse events does not differ from less experienced. Women develop vascular complications more often